Stacie Lynn Ricketts-mccook, NP in Stockbridge, GA

Stacie Lynn Ricketts-mccook, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Stockbridge, Georgia. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hospital Physician Services - Southeast Professional Corporation and her current practice location is 1133 Eagles Landing Pkwy, Stockbridge, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 604-5901.

Stacie Lynn Ricketts-mccook is licensed to practice in Georgia (license number RN185141) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053956045.

Contact Information

	Stacie Lynn Ricketts-mccook, NP
	1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085
	(678) 604-5901
	Not Available

Map and Direction

Provider's Profile

Full Name	Stacie Lynn Ricketts-mccook
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	1133 Eagles Landing Pkwy, Stockbridge, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stacie Lynn Ricketts-mccook graduated from nursing school in 2019

NPI Data:

NPI Number: 1053956045
Provider Enumeration Date: 11/13/2019
Last Update Date: 07/19/2024

Medicare PECOS Information:

PECOS PAC ID: 8729470356
Enrollment ID: I20240605001741

Medical Identifiers

Medical identifiers for Stacie Lynn Ricketts-mccook such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053956045	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	10235 (Connecticut)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	RN185141 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Eastside Medical Center	Snellville, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hospital Physician Services - Southeast Professional Corporation	5597774554	663

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stacie Lynn Ricketts-mccook allows following entities to bill medicare on her behalf.

Entity Name	Piedmont Hospitalist Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548219660 PECOS PAC ID: 1951299163 Enrollment ID: O20040309000820

Entity Name	Hospital Physician Services - Southeast Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545

Entity Name	Piedmont Athens Hospitalist Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578079000 PECOS PAC ID: 6305196411 Enrollment ID: O20180911003967

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacie Lynn Ricketts-mccook is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Stacie Lynn Ricketts-mccook, NP 863 N Main Street Ext Ste 200, Wallingford, CT 06492-2434 Ph: () -	Stacie Lynn Ricketts-mccook, NP 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 Ph: (678) 604-5901

Reviews and Comments

Nurse Practitioner Nurses in Stockbridge, GA

Casey R. Black, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Eagle Spring Dr, Stockbridge, GA 30281 Phone: 770-213-3366 Fax: 404-962-6943
Ms. Eleasha R Gray, C-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 North Park Trail, Stockbridge, GA 30281 Phone: 770-506-1800 Fax: 770-389-5947
Jeanine Clark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 175 Medical Blvd, Stockbridge, GA 30281 Phone: 239-443-8018
Shanae Mapp, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 831 Fairways Ct, Stockbridge, GA 30281 Phone: 770-389-1925
Janise Roebuck, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1240 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281 Phone: 770-389-3855
Sandra Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 Eagles Landing Pkwy # 210, Stockbridge, GA 30281 Phone: 770-668-3363
Mrs. Amanda J Raynor, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1045 Southcrest Drive, Suite 110, Stockbridge, GA 30281 Phone: 770-507-2212 Fax: 770-507-2213

Stacie Lynn Ricketts-mccook, NP - Medicare Nurse Practitioner in Stockbridge, GA